MR. Keith Wentz

NPI #1043648124 in Tonganoxie, Kansas

Provider Information

NPI Number: 1043648124
Entity Type: Individual
Name: MR. Keith Wentz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 28, 2013
Last Updated: Oct 28, 2013

Practice Location

Address: 207 W 3RD ST
City: Tonganoxie
State: Kansas
ZIP Code: 66086-9763
Phone: (913) 680-7754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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